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目的观察补脾益肾通淋汤配合托特罗定治疗对膀胱过度活动症患者B超观察的影响。方法将100例膀胱过度活动症患者随机分为治疗组和对照组,每组各50例。两组均给予口服托特罗定片治疗,治疗组加服补脾益肾通淋汤进行治疗。并采用B型超声检测治疗前后患者膀胱VFD、VSD、VUR、RUV以及急迫尿意时膀胱前壁的DWT。结果与治疗前比较,两组患者治疗后膀胱VFD、VSD、VUR均明显变大,膀胱前壁的DWT均明显降低,差异具有显著性意义(P<0.05);与对照组治疗后比较,膀胱VFD、VSD、VUR、RUV以及急迫尿意时膀胱前壁的DWT变化更明显,差异具有显著性意义(P<0.05)。结论补脾益肾通淋汤配合托特罗定治疗可明显升高膀胱过度活动症患者膀胱VFD、VSD、VUR、RUV,降低急迫尿意时膀胱前壁的DWT,优于对照组。
Objective To observe the effect of BuPai Yishen Tonglin Decoction combined with tolterodine on B-ultrasound in patients with overactive bladder. Methods 100 patients with overactive bladder were randomly divided into treatment group and control group, 50 cases in each group. Both groups were given oral tolterodine treatment, the treatment group plus Spleen Yishen Tonglin decoction for treatment. B-mode ultrasonography was used to detect the VF, VSD, VUR, RUV and DWT of the anterior urinary bladder in patients with acute urinary bladder before and after treatment. Results Compared with those before treatment, the VFD, VSD and VUR in the bladder of the two groups were significantly increased and the DWT of the anterior wall of the bladder were significantly decreased after treatment (P <0.05). Compared with the control group, VFD, VSD, VUR, RUV and acute urinary urinary bladder anterior wall DWT changes more significantly, the difference was significant (P <0.05). Conclusion BuBu Yishen Tongling Decoction combined with tolterodine can significantly increase the bladder VFD, VSD, VUR and RUV in patients with overactive bladder and reduce the DWT of the anterior urinary bladder in urgent urinary bladder, which is superior to the control group.